The meningiomas arising from the olfactory groove and their removal by the aid of electro-surgery / [Harvey Cushing].

  • Harvey Williams Cushing
Date:
1927
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Licence: In copyright

Credit: The meningiomas arising from the olfactory groove and their removal by the aid of electro-surgery / [Harvey Cushing]. Source: Wellcome Collection.

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    roentgenograms, to lie slightly to the left of the mid line and about a centimetre above the level of the roof of the orbit. (Fig. 24.) The sella turcica itself was of normal configuration though somewhat atrophic from pressure. Comment. Here, then, was a healthy-appearing individual with obvious mental peculiarities, a complete loss of the sense Fig. 24.—Case II. Pre-operative X-ray showing the telltale minute area of calcification (arrow) which stereoscopically lay directly above the left olfactory groove. Note the downward displacement of the posterior clinoid processes of the slightly enlarged sella. (Nat. size.) of smell, an optic atrophy with practical blindness and a minute patch of calcification just above the left olfactory groove, whereas his primary complaint had been the loss of vision on the right. The importance in a case of this kind, of a precise clinical history with the symptoms in their exact chronological order, cannot be over-emphasized. If we may presume to reconstruct the history in the light of the operative findings, he had had for months or years, unobserved, a relative anosmia primarily affecting the right side. This had